Individual
MISS MONICA LYNN INTERIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1377 W MAIN ST, GALESBURG, IL 61401-3315
(773) 641-8904
Mailing address
1377 W MAIN ST, GALESBURG, IL 61401-3315
(773) 641-8904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027328
IL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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